相关实验视频

Updated: Jun 17, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

改善早产婴儿第一次食的时间:一种质量改善方法

Molly F May^1,2,3, Melissa L McKinney², Danielle Cestare¹

¹From the Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.

Pediatric quality & safety

|February 21, 2025

概括

在24小时内,早产婴儿 (<35周,<2000克) 的早期肠道养从49%增加到80%. 这项质量改进项目成功地提高了食启动,但没有增加死性肠球炎 (NEC) 的发生率.

科学领域:

新生儿科学新生儿科学
儿童营养学儿童营养学
提高质量提高科学提高质量

背景情况:

在早产婴儿 (<35周妊娠年龄,<2,000g) 中,早期肠道养与减少败血症和死亡率有关.
在中心,不到一半的符合条件的婴儿在出生后24小时内接受了肠道养.

研究的目的:

增加在出生后24小时内开始肠道养的比例,从基线的49%提高到早产婴儿的75%的目标.
解决早期养的障碍,特别是母乳无法获得母乳.

主要方法:

实施的干预措施:产前哺乳咨询,专为患者使用的吸乳器,标准化食订单和多学科教育.
作为主要结果,监测到第一个肠道养的时间.
追踪死亡性肠球炎 (NEC) 发病率和配方使用作为平衡措施.

主要成果:

在24小时内接受肠道养的婴儿比例显著增加,从49%增加到80%.
在项目之前和期间,NEC的发病率保持在1.9%的稳定水平.
最常见的初始养来源是巴氏化捐赠者母乳,其次是母亲自己的牛奶和配方奶.

结论:

质量改进项目成功提高了符合条件的早产婴儿的早期肠道养率.
这些干预措施并没有导致NEC或初始料配方使用的增加.
通过有针对性的质量改善举措,可以有效地促进早期肠道养.

更多相关视频

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development

Published on: April 19, 2024

相关概念视频

Development of the Oral Microbiota

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...